PRO ACTIVE CHIROPRACTIC AND SPORTS MEDICINE PLLC
NPI 1669233763
Clinic/Center in Mesa, AZ

Active since January 17, 2024
6638 E BASELINE RD STE 101, MESA, AZ 85206(480) 534-7330(480) 550-7657 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pro Active Chiropractic And Sports Medicine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRO ACTIVE CHIROPRACTIC AND SPORTS MEDICINE PLLC (NPI 1669233763), doing business as Pro Active Chiropractic, is a healthcare organization registered as a clinic/center in Mesa, Arizona and active in the NPI registry since January 2024. The organization lists Jeff Roderick, Owner, as its authorized official.

NPPES Registry Identity

NPI1669233763
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePRO ACTIVE CHIROPRACTIC AND SPORTS MEDICINE PLLC
Location Address6638 E BASELINE RD STE 101Mesa, AZ 85206-4433
Mailing Address6638 E Baseline Rd Ste 101Mesa, AZ 85206-4433 · (480) 534-7330 · Fax (480) 550-7657
Fax(480) 550-7657
Organization SubpartNo
Authorized OfficialJeff RoderickOwner · (480) 534-7330
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
NPI 1669233763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6638 E BASELINE RD STE 101, Mesa, AZ 85206

Other Names 1

Doing Business AsPro Active Chiropractic

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
6638 E BASELINE RD STE 101
MESA, AZ 85206
Physical Therapist
6638 E BASELINE RD STE 101
MESA, AZ 85206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pro Active Chiropractic And Sports Medicine PLLC's NPI number?

The NPI number for Pro Active Chiropractic And Sports Medicine PLLC is 1669233763. It was assigned to this organization in the NPPES registry on January 17, 2024. The provider is doing business as Pro Active Chiropractic.

Where is Pro Active Chiropractic And Sports Medicine PLLC located?

Pro Active Chiropractic And Sports Medicine PLLC is located at 6638 E Baseline Rd Ste 101, Mesa, AZ 85206. The listed phone number is (480) 534-7330.

What is Pro Active Chiropractic And Sports Medicine PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Pro Active Chiropractic And Sports Medicine PLLC was last updated on January 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.